Bangladesh

Bangladesh: Floods Situation Report - 05 Aug 2004


1. Highlights of current flood situation
The flood situation all over the country is improving including Dhaka and central part of the nation.

According to the latest government bulletin1 released today, 38 districts out of the 64 districts in the country are officially affected by the current monsoon flood in Bangladesh;

The number of deaths due to the current flood has increased to 592 as recorded yesterday (03 August). Over 30.0 million people out of the 124 million in the country (Approximately 23% of the entire population) are now affected by the flood, and 4,994 flood shelters are now established in the affected areas.

2. Emergency health response taken by the government of Bangladesh

2.1 Organization

3373 number of government medical teams are working in the diarrhoea affected districts and 919 temporary treatment centers are now operational in the affected areas, which are providing expanded treatment facilities for diarrhoeal disease.

2.2 Emergency medical Supplies

The Directorate General of Health Services (DGHS) has established a 'Sub- Depot' at the EPI building located at Mohakhali to ease the coordination of drug supply to the affected districts.

2.3 Health education activities

The Bureau of Health Education of the MOH&FW is continuing health education activities in the flood affected areas;



2.4 Monitoring and surveillance

Disease surveillance activities have been strengthened in the affected districts and daily cases of diarrhoea are being reported to the Central Control Room of the DGHS from the local health authority;

The activities of the Central Control Room at the DGHS has been strengthened and kept 24 hour operational for information management with respect to current flood as well as monitoring of health situation in the affected areas.

1 The bulletin is updated every day between 6 to 7 PM in the evening

2.5 Activities of the DGHS in the flood affected areas:

Division
Total
Upazila
Affected
Upazila
Medical
Team
Temporary
Treatment Centre
Active Medical
team
Dhaka
120
113
2042
601
1846
Sylhet
35
35
472
33
470
Rajshahi
85
61
906
83
573
Barisal
17
11
168
1
101
Chittagong
36
24
562
201
383
Total
293
244
4150
919
3453

3. Assistance being provided by WHO-Bangladesh in view of the current flood:

WHO on behalf of the Health & Nutrition Sub-sector attended 'UN Flash Appeal' team meeting for discussion with the sectoral working group. Feed back on the first draft of the proposal is given.

The Divisional Coordinators and Districts surveillance medical officers (SMO) from WHO are providing technical supports to the Civil Surgeons and sending daily reports to FCMT, WHO.

4. Highlights of health situation and other health problems in the flood affecetd districts.

During last 24 hours (05/08/2004), three (03) deaths and 9,617 new cases of diarrhoea have been recorded from flood-affected areas.


Since 12 July to date, a total of 85,513 cases with 54 deaths from diarrhoea have been recorded from the 38 flood affected districts.


During the last 24 hours, 580 cases of acute watery diarrhea cases has been treated with no deaths reported by ICDDR, B, Dhaka

Since 01July - 04 August apart from diarrhoeal diseases , 6,196 cases with 03 deaths due to pneumonia, 54 drowning deaths and 09 snakebite deaths were reports were collected from the respective district.

Division
Pneumonia
Drowning
Snake bite
Others
Dhaka
5885/1
38
03
237
Chittagong
121/0
01
02
01
Rajshahi
190/2
15
04
11
* Total
6196/03
54
09
249

* Source: Civil Surgeon's/ Deputy Commissioner's Offices; Reported by the Divisional Coordinators (DC) and Districts surveillance Medical officers (SMO) from the WHO.

5. Trend analysis of current health situation in the flood affected districts

The number of new cases of diarrhoea is increasing in districts from where floodwater is receding.

Since, the above cases reflect only those consultations, which were reported at the fixed health facilities, the above figure might not correspond to the true number of diarrhoea incidences that are associated with the current monsoon flood in the country.

6. Projected evaluation of the situation

In case the flood period prolongs and water remaining stagnant for long period in the country, there could be a likelihood of increased caseload for water-borne diseases in the country.

7. Conclusion

The WHO Country office in Bangladesh under the overall supervision and guidance of WHO Representative in Bangladesh is continuously monitoring the present flood situation in the country apart from providing technical assistance to the national health authority for coordinating the on-going emergency response operation.

Sources of information:

1. Communicable Disease Control Unit, Directorate General of Health Services. (Tel: 8813839)

2. Control Room of the Ministry of Food and Disaster Management (Tel: 7162116 and 7160454)

3. Control Room of the Directorate General of Health Services (Tel: 8818736 and 8819353)

4. Flood Control and Monitoring Center, Government of Bangladesh (http://www.ffwc.net)

5. Civil Surgeons/DC Control room: Affected districts, (Reported by Div. Coordinators/SMO, WHO)

6. Public Health Risk Management: Early Warning System for Disease Outbreaks (http://www.ewsr-who.org)

7. Divisional Coordinators and Districts surveillance medical officers (SMO) from the WHO.

Prepared by (in collaboration with the in house FCMT, WHO) Dr. K. Akram, National Professional Officer, Communicable Diseases (NPO, CD), World Health Organization (WHO) Dr. Kamruz Zaman, National Professional Officer, Epidemiology (NPO, Epid.) World Health Organization (WHO) National Disease Surveillance Centre (NDSC), Institute of Epidemiology Disease Control & Research, (IEDCR), DGHS, Mohakhali, Dhaka 1212, Bangladesh